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Organization

KURT KAVANAUGH ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KURT EDWARD KAVANAUGH D.D.S., M.S. (OWNER)
(816) 420-8100
Entity
Organization

Contact information

Practice address
8407 N MAIN ST, KANSAS CITY, MO 64155-2426
(816) 420-8100
(816) 420-8416
Mailing address
8407 N MAIN ST, KANSAS CITY, MO 64155-2426
(816) 420-8100
(816) 420-8416

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
014547
MO

Other

Enumeration date
02/17/2007
Last updated
08/22/2020
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